Flat Feet (Flatfoot): Diagnosis & Treatment | NewYork-Presbyterian (2024)

How are Flat Feet Diagnosed?

Diagnosis

A doctor can diagnose flat feet by observing your feet and pinpointing the area of your pain. They may ask you to stand on your toes and test the strength of your ankles. The wear pattern on the bottoms of your shoes may also reveal information.
Imaging tests may be used to diagnose the cause of your foot pain, including:

  • X-rays. Images of the bones and joints in the feet can help evaluate alignment and detect arthritis
  • Ultrasound. If an injury is suspected, sound waves can produce quick, dynamic images of the soft tissue in the foot
  • CT scans can provide a detailed 3D x-ray image of the foot
  • MRI. Using a powerful magnet and radio waves, an MRI produces a more precise image of the foot’s bone and soft tissues

How are Flat Feet Treated?

Treatments

If you are seeking how to fix flat feet or find pain relief, there are a number of treatment options available, including physical therapy, orthotics, flat feet exercises, and, in rare cases, surgery. An orthopedist can help you decide which treatment is best for you.

Physical therapy

A physical therapist can treat your flat feet with certain muscle lengthening and strengthening exercises. They can also recommend certain lifestyle changes, such as how you walk and stand (posture), and work to strengthen your core.

Orthotics

Either over-the-counter or custom-made foot orthotics (insoles) can be a real game changer when it comes to flat feet correction. If needed, an orthopedist can write a prescription for custom foot insoles that provide targeted support to your feet to alleviate pain.

Flat feet exercises

Several exercises for flat feet can help with discomfort. Many foot exercises for flat feet can be done at home, including:

  • Stretching exercises for the Achilles tendon and calf muscle
  • Heel raises. Go up on your tip toes, hold for a few seconds, then slowly lower down
  • Toe walking and heel walking. Try walking across the floor on just your heels, then walk back up on your toes as if wearing high heels. This will help strengthen the feet and ankles.
  • Arch massage. Massage the arch area by rolling back and forth while pushing against a roller ball or even an ice-cold bottle of water under the foot

Surgery

People rarely need surgery for flat feet. But, in severe cases, a surgical procedure can be done to repair or reconstruct the tendons and ligaments and realign the bones that support the foot arch. Surgery is typically done to prevent the worsening of deformity, pain, and arthritis in the future.

FAQs

FAQs

How can you tell if you have flat feet?

While standing, check the inner sides of your feet. With normal feet, you should have an arch—raised between the bottom of your foot and the ground. You have flat feet if your foot is flat against the ground with no space.

What causes fallen arches?

Fallen arches can be inherited or, very commonly, caused by inflammation or tearing in the leg tendon that supports the arch (posterior tibial tendon).

Can flat feet be corrected?

Flat feet can be corrected by surgery by realigning the bones and repairing or reconstructing damaged ligaments and tendons supporting the arch. However, even surgery cannot always completely or permanently correct flat feet.

What can be done to help flat feet?

Foot exercises, orthotics, physical therapy, and, in extreme cases, surgery are all options to help alleviate pain from flat feet.

Flat Feet (Flatfoot): Diagnosis & Treatment | NewYork-Presbyterian (2024)

FAQs

Is flat-footed a disability? ›

Yes, the VA does consider flat feet to be a disability. To qualify for flat feet VA disability benefits, you must prove that you have been diagnosed with pes planus, bilateral pes planus, or pes planus with plantar fasciitis.

Can flat feet be corrected without surgery? ›

Flat Foot Treatment Options

Non-surgical treatment for flat feet includes: Modifying your daily activity. Ankle braces. Anti-inflammatory medications.

How do they diagnose flat feet? ›

How are Flat Feet Diagnosed? A doctor can diagnose flat feet by observing your feet and pinpointing the area of your pain. They may ask you to stand on your toes and test the strength of your ankles. The wear pattern on the bottoms of your shoes may also reveal information.

Can a flat foot be corrected in adults? ›

In adults, lengthening the lateral border of the foot remains very effective in correcting a flat foot. However, the traditional Evans procedure is not always well tolerated with arthritis sometimes developing in the adjacent calcaneocuboid joint.

What percentage of VA disability is flat feet? ›

§ 4.71, Diagnostic Code (DC) 5276. A bilateral acquired flatfoot (pes planus) will be rated as 30 percent disabling where severe with objective evidence of marked deformity (pronation, abduction, etc.), pain on manipulation and use accentuated, indication of swelling on use, characteristic callosities.

Do flat feet disqualify military service? ›

In the past, military enlistment was not permitted for people with flat feet, but that policy has recently been changed. People who have this condition are allowed to enter the military, providing there are no obvious symptoms.

Is there a way to permanently fix flat feet? ›

There are several types of surgeries that may be used to correct flat feet:
  1. tendon transfers: a tendon is moved from one bone to another to help with deformity.
  2. osteotomies: bones are cut and slid into different locations.
  3. fusions: joints are fused to eliminate pain and deformity.
May 27, 2020

Is flat feet surgery worth it? ›

How successful is flat foot reconstruction surgery? Flat foot reconstruction surgery, also known as Subtalar joint arthritis surgery, has a 98% success rate, making it an effective procedure for treating flat foot.

What is the Jack test for flat feet? ›

The Hubscher maneuver (or Jack's test) is a method of evaluating the flexibility of a pes planus or flat foot type. The test is performed with the patient weight bearing, with the foot flat on the ground, while the clinician dorsiflexes the hallux and watches for an increasing concavity of the Arches of the foot.

What happens if you don't correct flat feet? ›

Flat feet are not as proficient at keeping the body stable as feet that have a normal arch. As a consequence, people with flat feet are at a higher risk of developing chronic muscle strain as the muscles of the body are forced to compensate for the foot's lack of stability.

Who to see to fix flat feet? ›

Your Podiatrist will then discuss your treatment options which will often include a pair of custom foot orthotics to control any abnormal forces causing any associated foot pain, leg pain or other symptoms.

At what age can flat feet be cured? ›

Flat feet do not usually need to be treated

Most children have flat feet until they're about 6 years of age. After this time, they usually develop an arch.

Are Birkenstocks good for flat feet? ›

"They're really good for if you have a flat foot or you have arch pain because they have a supportive longitudinal arch.

Can flat feet be reversed? ›

For the most part, flat feet can be addressed by treatment and management of the muscles in the sole of the foot. However, sometimes it is the bones themselves that are malformed, or the muscles are damaged to the point that therapy alone isn't enough. In cases like this, a doctor may suggest surgery as an option.

What foot problems qualify for disability? ›

Foot conditions eligible for VA disability include flatfoot, plantar fasciitis, hammer toe, and several other foot injuries of varying severity. The bilateral factor rule may increase your rating potential if service-connected conditions impact both feet.

Do people with flat feet have trouble walking? ›

Flat feet occur when a person has a minimal or absent foot arch, often causing problems with walking and sometimes pain. There are different causes of flat feet, and not all types of the condition will cause discomfort and symptoms.

Does being flat footed mean anything? ›

Flat feet are not as proficient at keeping the body stable as feet that have a normal arch. As a consequence, people with flat feet are at a higher risk of developing chronic muscle strain as the muscles of the body are forced to compensate for the foot's lack of stability.

Are there benefits to having flat feet? ›

For instance, individuals with flat feet tend to have increased stability and a lower center of gravity, which can enhance balance and agility in activities such as gymnastics, martial arts, and dance.

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